Active NPIOrganization

Mellowminds Psychiatric Services LLC

Nurse Practitioner, Psych/Mental Health in Fanwood, New Jersey

NPI Number1538953658
Practice location
193 Terrill RD, Fanwood, NJ 07023-1055
Fax
—
Last updated
April 4, 2025

Mellowminds Psychiatric Services LLC is a healthcare organization based in Fanwood, NJ. Mellowminds Psychiatric Services LLC practices in Fanwood, NJ. The NPI Number for Mellowminds Psychiatric Services LLC is 1538953658. The current practice location address for Mellowminds Psychiatric Services LLC is 193 Terrill RD, Fanwood, NJ 07023-1055 and can be reached out via phone at 908-472-5871.

Provider Profile Details

NPI Number
1538953658
Provider Name
Mellowminds Psychiatric Services LLC
Provider Entity Type
Organization
Address
193 Terrill RD, Fanwood, NJ 07023-1055
Phone Number
908-472-5871
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Kelly Perez, PMHNP-BC · Pmhnp-Bc · 908-472-5871
Provider Enumeration Date
April 4, 2025
Last Update Date
April 4, 2025
Certification Date
April 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Terrill RD
Fanwood, NJ 07023-1055
Zip
07023-1055
Phone Number
908-472-5871
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
26 Mary Ln
Fanwood, NJ 07023-1009
City
Fanwood
State
NJ
Zip
07023-1009
Phone Number
908-472-5871

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mellowminds Psychiatric Services LLC?

The NPI number of Mellowminds Psychiatric Services LLC is 1538953658. It was assigned on April 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Mellowminds Psychiatric Services LLC?

Mellowminds Psychiatric Services LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Mellowminds Psychiatric Services LLC practice?

The practice location is 193 Terrill RD, Fanwood, NJ 07023-1055. The office can be reached at 908-472-5871 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538953658 directly on the NPPES registry website.

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